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162230 08/05/2008
CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 ONE CIVIC SQUARE HYLANT GROUP CARMEL, INDIANA 46032 P 0 BOX 1910 CHECK AMOUNT: $129.00 CARMEL IN 46082 CHECK NUMBER: 162230 CHECK DATE: 8/512008 DEPARTMENT ACCOUNT PO NUMB INV OICE NUMB AMOUNT DESCRIPTION 902 4347500 661149 129.00 GENERAL INSURANCE INVOICE 661149 01/01/08 +EN PCKG GP09313908 Add Sculpture Travelers Insurance Companies 129.00 Dept CRC Invoice Balance: 129.00 HYLANT GROUP www.hylant.com 501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317 817 -5000 Fax: 317- 817 -5151 M L LO 0 o DELIVERY INVOICE n �U U Company: ST. PAUL MERCURY INSURANCE COMPANY 0 Policy Inception /Effective Date: 05/22/08 N Agency Number: 1307412 o S O U CITY OF CARMEL Transaction Type: R ONE CIVIC SQUARE ENDORSEMENT OF POLICY o E CARMEL IN 46032 Transaction number: 011 D Processing date: 07/14/08 12 :29 Policy Number: GP09313908 0) LO N N A HYLANT GROUP INC o G P.O. BOX 1910 E CARMEL IN 46082 -4910 N o T a C7 o Policy Description Amount Surtax/ o Number Surcharge U N GP09313908 ENDORSEMENT PREMIUM $129.00 0 GP09313901 PREMIUM PAYMENT PLAN SERVICE CHARGE $0.00 40724 Ed. 12-90 Printed in U.S.A. Page 1 INSURED COPY ihe StFhVl 40724 Ed. 12-90 Printed in U.S.A. Page 2 INSURED COPY M Lo L 0 'o PREMIUM PAYMENT SCHEDULE meSMUI �U U Company: ST PAUL MERCURY INSURANCE COMPANY 0 00 0 Policy Inception /Effective Date: 05/22/08 I N Policy Number: GP09313908 o S U CITY OF CARMEL Agency Number: 1307412 R ONE CIVIC SQUARE E CARMEL IN 46032 This is the installment schedule D N Transaction Number: 011 co 0 m A co G HYLANT GROUP INC o E P.O. BOX 1910 N CARMEL IN 46082 4910 0 T 0 0 U Due Premium Premium Payment Plan Surtax/ Total Date Service Charge Surcharge 06/01/08 $129.00 $129.00 TOTAL $129.00 ?'$0 00 ``$0.00 $129.00 THIS IS IN ADDITION TO YOUR EXISTING PAYMENTS 0 40726 Ed.4 -85 Printed in U.S.A. Page 1 INSURED COPY TheStPdUl 40726 Ed.04 -85 Printed in U.S.A. Page 2 INSURED COPY m In L 0 o POLICY CHANGE ENDORSEMENT meSrPdul 40 This endorsement summarizes the changes to your policy. All other terms of your policy not affected by these changes remain the same. o How Your Policy Is Changed COMMERCIAL FINE ARTS PROPERTY PROTECTION: 0 0 0 Form 42150 is amended, per the attached, to increase the scheduled limit from H $312,000. to $452,000. to add the following: 0 Street Art located at 19 E. Main St., Carmetl, IN g "Unconditional Surrender" m Value $140,000 0 N h N co O m r� ro m O a c7 N O O U N Premium Change Which Is Due Now Additional premium $129.00 Returned Premium If issued after the date your policy Policy issued to begins, these spaces must be completed CITY OF CARMEL and o ur representative must sign below. 0 Authorized representative Endorsement takes effect Policy Number 05/22/08 GP09313908 Processing Date: 07/14/08 12:29 011 40704 Ed.5 -84 Printed in U.S.A. Endorsement ©St.Paul Fire and Marine Insurance Co.1984 All Rights Reserved Page 1 fieST pdpI Page 2 ©St.Paul Fire and Marine Insurance Co. 1984 All Rights Reserved M N LO 0 o COMMERCIAL FINE ARTS PROPERTY PROTECTION meStPaul ib We've designed this agreement to protect certain property you own or have in your care against all risks of direct physical loss or damage with some limitations. 0 Coverage Summary 00 Covered property and location Limits of coverage Scheduled fine arts items: o As Per Schedule On File With The Company. 452,000 LD W N r- N co O m m m rn O Unscheduled fine arts items, but no o more than 5, 000 for any one item. 100,000 0 N Premium. Deductible. You'll be responsible for the first 1,000 of each loss. We'll pay the rest of a covered loss up to the applicable limits of coverage. 0 Your premium is based on your statement that, at the time this agreement took effect, each You agree that any recovery or salvage on a fine arts item was at the location shown above. loss will belong to us until the amount we paid has been made up. What This Agreement Covers In order to be covered, you must report the additional property within 90 days after the This agreement protects against all risks of date you acquire it. An additional premium will direct physical loss or damage to each fine arts be due from the date the property is acquired. item for which a limit is shown in the Coverage However, the coverage ends if the additionally Summary. Items may be property you own or acquired property is not reported within the 90 have in your care. Of course there are other day period. limitations to this coverage which will be explained later in this agreement. Packing agreement. You agree that fine arts insured under this agreement will be packed and Newly acquired items. We'II cover any art object unpacked by trained packers. acquired after this agreement takes effect. The kind of property acquired must already be covered by this agreement. We'II cover fine When And Where We Cover arts items for 25% of the total limits of cover- age on that property. This coverage is in addi- We'II cover losses to fine arts that occur within tion to the total limit shown in the Coverage the continental United States, Alaska, Hawaii, Summary for fine arts. Canada and Puerto Rico while this agreement is in effect. Name of Insured Policy Number GP09313908 Effective Date 05/22/08 CITY OF CARMEL Processing Date 07/14/08 12:29 011 42150 Ed.3 -80 Printed in U.S.A. Insuring Agreement 26 Page 1 of 3 ©St.Paul Fire and Marine Insurance Co.1980 Property Coverage ih e stpaul Exclusions Losses We Won't Cover won't cover seizure or destruction of your prop- erty under quarantine or custom regulations, or When we use the word "loss" in this section, confiscation by any government or public we also mean damage. authority. Nor will we cover illegal transporta- tion or trade. Wear deterioration pest. We won't cover loss resulting from any of the following causes: What We'll Pay •wear and tear; •gradual deterioration; or We'll consider the following to determine what *insect or animal pests like termites or mice. we'll pay for the loss: Inherent nature. We won't cover loss resulting *whether your fine arts items are scheduled or from the inherent nature of the property. By unscheduled; inherent, we mean a quality or latent defect in the property that causes it to deteriorate or to *whether the lost or damaged item was part of destroy itself. a pair or set; Repair. We won't cover loss to fine arts result- •the deductible; and ing from any repairing, restoration or retouch- ing process. *other insurance. Breakage of fragile items. We won't cover fragile The next sections explain how these factors items such as art glass windows, statuary, affect the actual amount we'll pay. marbles, glassware, bric -a -brac and porcelains unless the breakage is caused by one of the Scheduled fine arts items. When you schedule following covered perils: fire, lightning, your fine arts items, a separate limit applies to aircraft, theft or attempted theft, wind, earth- each item. At our option, we'll pay either the quake, flood, explosion, malicious damage, or limit shown for that item or the cost of repair collision, derailment or'overturn of a transport- ing or replacing it with an item of similar kind ing vehicle. and quality. Property on display. We won't cover fine arts on Unscheduled fine arts items. Coverage is display at fairgrounds or any national or inter- provided for unscheduled fine arts items when a national exposition unless the display location limit for unscheduled items is shown in the is shown in the Coverage Summary. Coverage Summary. A single limit applies to all your fine arts items covered on an unscheduled Nuclear activity. We won't cover any loss basis. For example, if your limit is $10,000, this caused by nuclear reaction, nuclear radiation, or limit applies to all loss in one event, no matter radioactive contamination. And we don't intend how many single items are lost or damaged. these causes of loss to be considered fire, smoke, explosion, or any other insured peril. We'll pay either the cost of repairing or replac- But we will cover direct loss by fire resulting ing the property with similar kind and quality or from nuclear reaction, nuclear radiation or the actual cash value of the property at the time radioactive contamination if the loss would of loss, whichever is less. otherwise be covered under this agreement. The premium for this coverage is based on your War and government seizure. We won't cover any promise to insure property for 100% of its loss caused by: war (declared or undeclared). actual cash value. At the time of loss we'll Invasion. Insurrection. Rebellion. Revolution. subtract your deductible from the loss to get Civil war. Or seizure of power. Or anything done your net loss. Then we'll figure what we'll pay to hinder or defend against these actions. We using the following formula: Page 2 of 3 ©St.Paul Fire and Marine Insurance Co.1980 m LO L 0 i he StPhul io 0 0 s& amount of Other insurance. Other insurance may be avail insurance able to cover a loss. If so, we'll pay the amount 0 X net loss amount we'll pay of your covered loss that's left after the other actual cash insurance has been used up, less the deductible. value But we won't pay more than the applicable limit 0 of coverage. If you're insured to value, we'll pay 100% of o your covered net loss. However, if you're not 0 insured to value, you'll have to share in the loss. Preserving Your Rights 0 For example: You must do all you can to preserve any rights o You have a $2,000 loss to property insured you have to recover your loss from others. If for $2,500. But at the time of loss, the you do anything to impair these rights, we actual cash value of the property is $5,000. won't pay for your loss. However, before a loss If your deductible is $100, we subtract that occurs, you can give others a written release N amount from your loss to get your net loss from responsiblility for losses to property. N or $1,900. Using these figures we apply You can also accept ordinary bills of lading o the formula: from a shipper, even if they limit the carrier's liability for losses. $2,500 1 or 50% X $1,900 $950 N $5,000 2 Expenses For Reducing Loss 0 o We'll pay $950 of your loss. The remaining When a covered loss occurs, you must do N $950 is your share. everything possible to protect the property from further damage. Keep a record of your From this example, you can see that it's impor- expenses. We'll pay our share of reasonable and 0 tant to insure property for 100% of its value. necessary expenses incurred to reduce the loss or protect covered property from further Pairs and sets. If one or more parts of a set is damage. We'II figure our share and your share lost or destroyed, we'll pay the limit of cover- of these expenses in the same proportion as age for the set shown in the Coverage each of us will benefit from them. Summary. And you agree to surrender the remaining parts of the set to us. Insurance For Your Benefit Items with several parts. If a part of an item made up of several parts is lost or damaged, This insurance is for your benefit. No third party we'll pay only for that part. having temporary possession of the property, such as a transportation company, can benefit directly or indirectly from it. k 42150 Ed.3 -80 Printed in U.S.A. Insuring Agreement 26 Page 3 of 3 ©St.Paul Fire and Marine Insurance Co.1980 Property Coverage Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee y IAn4 (Tt/ oL, n Py Pcy l 4 r a Purchase Order No. C' N y o 7 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/2 z a /ly ti A•� s'�/ i y� nd J p A j F Total 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 4 4 /k^ 4 V7�o�p IN SUM OF p o t3 1 4 r o CG l t d (-f Coos' T O G C4 S ON ACCOUNT OF APPROPRIATION FOR aoz 3 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 9� ly 3 (f'7So JZy. pO bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except o Signa r �Fr. mt F.�p ^�P Cost distribution ledger classification if Title claim paid motor vehicle highway fund